| Question |
Answer |
Wrong Answers |
| if a patient is taking an antibiotic and they develope vaginitis which class are they most likey taking? |
lincosamides | | 93% |
| sulfonamides | | 4.7% |
| penicinnilns | | 0% |
| cephalosporins | | 2.3% |
|
| When taking Norfloxacin a Patient may experience which side effects |
photosensitivity, headache, seizures | | 86% |
| Hypoprothrombinemia, allergic reactions | | 2.3% |
| 8th cranial nerve toxicity, ototoxicity | | 11.6% |
|
| if a patient is taking minocycline what should be included in patient teaching? |
avoid foods high in calcium | | 81.4% |
| monitor for loose, foul smelling stool | | 4.7% |
| avoid alcohol while taking | | 11.6% |
| take with full glass of water | | 0% |
|
| uses of streptokinase |
MI | | 79.1% |
| COPD | | 0% |
| Hypertension | | 2.3% |
| GI Distress | | 0% |
|
| who should NOT take doxycycline |
patient under 8yrs old | | 78.6% |
| alcoholic | | 2.4% |
| elderly patient | | 0% |
| patient with bleeding disorder | | 0% |
|
| what class is quaifenesin part of |
expectorants | | 77.8% |
| antitussives | | 2.8% |
| anti tb | | 0% |
| leukotriene modifiers | | 0% |
|
| if a patient is taking daliresp what do you need to include in patient teaching? |
report any suicidal thoughts | | 76.7% |
| avoid all foods containing potassium | | 0% |
| shake the MDI before each dose | | 9.3% |
| drink water to help with unpleasant taste | | 2.3% |
|
| which medication can cause hypocalcification of the primary teeth |
doxycyline | | 76.7% |
| vancomycin | | 2.3% |
| erythromycin | | 0% |
| amoxicillin | | 2.3% |
|
| antilipemincs |
decrease serum cholesterol and LDL's | | 76.7% |
| inhibit the response of beta adrenergic stimulation | | 2.3% |
| produce vasodilation | | 0% |
| relax smooth muscle | | 2.3% |
|
| If a patient is taking beclomesthasone what class of drug is it? |
nasal decongestants | | 76.7% |
| expectorants | | 4.7% |
| antihistamines | | 7% |
| thiazide diurectics | | 2.3% |
|
| when a patient is taking vancomycin what should the nurse monitor |
IV extravasation | | 75% |
| dizziness and drowsiness | | 2.8% |
| low urine output | | 0% |
| inability to swallow pills | | 0% |
|
| which medication is the patient at risk for hepatitis |
isoniazid, rifampin, pyrazinamide, para-aminosalicyclic acid | | 75% |
| guaifensin, ipratropium | | 0% |
| theophyline, streptomycin | | 0% |
| doxycyline, cefazolin, azithromycin | | 2.8% |
|
| If a patient has a non productive cough which med would you suspect the MD to prescribe |
dextromethorphan | | 74.4% |
| fexodenadine | | 2.3% |
| robitussin | | 9.3% |
| monrelukast | | 2.3% |
|
| penicillin medications include |
methicillin, nafcillin | | 74.4% |
| neomycin, amikacin, tobramycin | | 0% |
| azythromycin, erythromycin | | 7% |
|
| which med has cross allergy to penicillin |
cephalosporins | | 74.4% |
| norfloxacin | | 0% |
| glycopeptides | | 0% |
| sulfasalazine | | 4.7% |
|
| patient teaching when taking a nicotinic acid medication |
avoid spicy food | | 73.8% |
| avoid alcohol for 5 days | | 2.4% |
| take with antacid | | 0% |
| avoid caffiene | | 4.8% |
|
| what class are these meds part of: doxycycline, minocycline, tetracycline |
tetracyclines | | 72.2% |
| macrolides | | 2.8% |
| glycopeptides | | 0% |
| penicillins | | 0% |
|
| what are the side effects for cephalosporins |
c-diff, bone marrow depression, hypoprothromninemia, eosinophilia | | 72.2% |
| insomnia, photosensitivity, dizziness, seizures | | 2.8% |
| nephrotoxicity, ototoxicity, stomatisis, sore mouth | | 2.8% |
|
| what drugs are antihistamines |
cetirizine, fexofenedine, loratadine | | 72.2% |
| psuedoephedride, beclomethason, fluticasone, mometsone | | 8.3% |
|
| herbs used to lower cholesterol are |
soy, garlic, fish oils | | 72.1% |
| green tea, chamolie | | 2.3% |
| garlic, anise, black cohosh | | 7% |
| ginsing, alphla | | 0% |
|
| if a patient reports ototoxicity while on an antibiotic, which med do you suspect they are taking? |
amikacin | | 72.1% |
| clindamycin | | 11.6% |
| cefoxitin | | 9.3% |
| sulfasalazine | | 2.3% |
|
| levofloxacin is part of which class |
fluoroquinoloes | | 72.1% |
| penicillin | | 2.3% |
| cephalosporin | | 4.7% |
| macrolides | | 0% |
|
| early signs of DIG toxicity are |
N/V, anorexia | | 72.1% |
| headace, bradycardia, flushing | | 9.3% |
| constipation, dizziness | | 0% |
|
| in a patient is taking a calcium channel blocker what should be included in teaching |
don't crush or chew sustained resleased meds | | 69.8% |
| avoid contact sports | | 7% |
| take pulse before each dose | | 4.7% |
| take acetaminophen for headache | | 0% |
|
| cetirizine is what class and used for what |
antihistamine used for motion sickness | | 69.8% |
| expectorant used for mucus | | 2.3% |
| bronchodilotaor used for asthma | | 4.7% |
| antitiussive used for irriating cough | | 2.3% |
|
| teach patients to report for enalapril |
facial sweeling and lightheadedness | | 69.8% |
| report any bleeding and bruising | | 0% |
| dizziness and flushing | | 11.6% |
|
| which class of antibiotics can cause a false positive COOMBS |
cephalosporins | | 69.8% |
| aminogycosides | | 2.3% |
| tetracycline | | 0% |
| sulfonamides | | 9.3% |
|
| Terbutaline should be used for which disease process |
asthma | | 69.8% |
| hypertension | | 2.3% |
| hyperlipidimia | | 7% |
| CHF | | 4.7% |
|
| what is the class and action of beclomethasone |
nasal decongestant / shrink nasal mucosal membranes and reduce fluid secretion | | 69.4% |
| antihistamine / comepete with histamine binding sites | | 2.8% |
| mucolyctic / thins mucus | | 8.3% |
|
| what is included for patients taking diphenhydramine |
use lozengers for dry mouth, avoid alcohol | | 69.4% |
| take with water, cough and deep breath | | 0% |
| avoid caffeine | | 5.6% |
| take 1 hour be and two hours after meals | | 2.8% |
|
| what meds are in this class: fluoroquinolones |
ciprofloxacin, norfloxacin, levofloxacin | | 69.4% |
| cefazolin, cefoxitin, cephalexin | | 2.8% |
| neomycin, amikacin, tobramycin | | 2.8% |
|
| which diuretic are you at risk for Hyperkalemia while taking |
spironolactone | | 67.4% |
| bumetanide | | 0% |
| chlorothiazide | | 11.6% |
| mannitol | | 0% |
|
| side effects of persantine include |
Bleeding, flu like symptoms | | 67.4% |
| allergic reaction, hypotension | | 7% |
| heart failure, N/V | | 0% |
| nosebleeds, alopecia | | 7% |
|
| which patient is at risk for respiratory depression |
patient taking methyldopa | | 67.4% |
| patient taking pirbuterol | | 2.3% |
| patient taking tiotropium | | 4.7% |
| taking streptomycin | | 4.7% |
|
| action of lanoxin |
increase force of contraction | | 67.4% |
| decrease cardiac contractility and workload on the heart | | 9.3% |
| produce vasodilation | | 0% |
| decrease preload and afterload | | 2.3% |
|
| captoril can be used for |
chf | | 67.4% |
| migranes | | 4.7% |
| dysrthythmias | | 4.7% |
| hypotension | | 2.3% |
|
| if a patient is taking bleomycin they are at risk for |
stomatitis | | 67.4% |
| rash | | 7% |
| constipation | | 2.3% |
| hepatotoxicity | | 4.7% |
|
| If a patient is taking verapamil what are some side effects they might have |
hypotension, nervousness, bradycardia | | 67.4% |
| hypotension, nervousness, tachycardia | | 14% |
|
| antitussive is what med and what action |
benylin (dextromethorphan)/ suppresses cough center | | 66.7% |
| acetylcysteien / thins mucus | | 0% |
| dextromethorphan / loosens secreations | | 13.9% |
| cetirizine / blocks histamine respons | | 0% |
|
| what are side effects for cetirizine, chlorpheniramine, diphenhydramine, fexofenadine, loratadine |
urinary retention, dry mouth, bronchospasm, nightmares | | 66.7% |
| N/V, bronchospasm, stomatitis | | 0% |
| drowsiness, constipation, dry mouth | | 11.1% |
|
| what medication should be avioded if patient has an allegry to peanuts |
ipratropium | | 66.7% |
| cromolyn sodium | | 0% |
| cetirizine | | 0% |
| tiotropium | | 2.8% |
|
| side effects of tiotropium include |
dry mouth, tremors, palpiation, nervousness | | 66.7% |
| headache, dizziness, vomiting | | 5.6% |
| nephrotoxicity, seizures, insomnia | | 0% |
| throat irriation, unpleasant taste | | 5.6% |
|
| inhitibs aggregation of platelets in clotting process is the action of which med class |
Antiplatelets | | 65.1% |
| anticoagulants | | 16.3% |
| beta blockers | | 0% |
| HMG-CoA reducatase inhibitors | | 0% |
|
| which patient is at risk for tendon rupture |
patient taking levofloxacin | | 64.3% |
| patient taking hydoclothiazide | | 11.9% |
| patient taking vancomycin | | 2.4% |
| patient taking digoxin | | 2.4% |
|
| what medication are part of the aminoglycoside class |
streptomycin, neomycin, gentamicin, amikacin | | 63.9% |
| azithromycin, erythromycin | | 8.3% |
| trimethoprim, sulfisoxazole, sulfasalazine | | 0% |
|
| these are side effets for what class and med.. stomatitis, rash, peripheral neuropathy, seizures, urinary crystallization |
sulfonamides / sulfisoxazole | | 63.9% |
| sulfonamides / erythromycin | | 8.3% |
| cephalosporins / ceftriaxone | | 5.6% |
|
| the nurse was instructed to monitor for weight gain and edema, which medication does she suspect the patient is taking |
minoxidil | | 62.8% |
| methyldopa | | 16.3% |
| mannitol | | 7% |
| epinephrine | | 0% |
|
| metolazone side effects |
hypokalemia, hyperglycemia | | 62.8% |
| headache, tachycardia, angina | | 2.3% |
| hypokalemia, hypoglycemcia, hypotension | | 9.3% |
| hyponatremia, hypotension | | 4.7% |
|
| monitor BUN, Creatine, ast, alt, wbc for |
fluoroquinoles | | 61.9% |
| macrolides | | 2.4% |
| sufonamides | | 7.1% |
| cephalosporins | | 9.5% |
|
| patient teaching for INH should include |
change position slowly, take before meals | | 61.1% |
| use when entering an enviroment that could cause and allergic reaction | | 5.6% |
| report suicidal ideation | | 8.3% |
| avoid caffeine and soda | | 2.8% |
|
| what is the action of acetylcysteine |
things mucus so it can be coughed up | | 61.1% |
| lossens bronchial secretions so they can be coughed up | | 16.7% |
| shrink nasal mucosal membranes | | 2.8% |
|
| if a patient is taking azithromycin what class is it and what do you monitor for |
macrolide / liver | | 60.5% |
| lincosamide / liver | | 4.7% |
| aminoglycoside / renal | | 7% |
| macrolide / BUN & creatnine | | 9.3% |
|
| what are the side effects for ethambutol |
optic neuritis, vomiting, nausea | | 60.5% |
| peripheral neuritis, dizziness, rash | | 14% |
| fever, hepatitis, increased uric acid | | 16.3% |
| nephrotoxicity, auditory toxicity | | 4.7% |
|
| a patient taking gentamicin or tobramycin should report |
tinnitus and nystagmus | | 60.5% |
| foul loose smelling stool | | 0% |
| tongue changes | | 0% |
| ototoxicity and hearing loss | | 18.6% |
|
| side effects of pyrazinamide include |
hyperuricemia, seizures, optic and peripheral neuritis | | 58.3% |
| peripheral neuritis, N/V, dizziness | | 8.3% |
| nephrotoxicity, auditory ototoxicity, N/V, headache | | 11.1% |
|
| if a patient is taking pseudoephedrine what class and what patient teaching |
nasal decongestant / avoid caffiene | | 58.3% |
| expectorant / take with water | | 2.8% |
| antihistamine / take with food | | 13.9% |
| antitussive/ avoid alcohol | | 2.8% |
|
| what should be monitored for a patient taking chlorothiazide |
creatinine & electroyles | | 58.1% |
| serum potassium | | 11.6% |
| weight gain & edema | | 16.3% |
|
| if a patient has abdominal bleeding, liver damage and alopciea you suspect they are taking which antineoplastic med |
mercaptopurine | | 58.1% |
| vincristine | | 14% |
| cytarabine | | 0% |
| flurouracil | | 9.3% |
|
| side effects for lincosamides |
bone marrow depression, c-diff | | 58.1% |
| vaginitis, hyperkalemia, red urine | | 14% |
| eosinophilia, allergic reaction, nephrotoxicity | | 7% |
|
| what are possible side effects to guaifenesin (humibid, mucinex) |
n/v and headache, dizziness, headache | | 55.6% |
| stomatitis and runny nose | | 16.7% |
| hypertension and hyperglycemia | | 2.8% |
| dizziness and urinary retention | | 2.8% |
|
| if a patient is taking azithromycin what side effects may they have |
c-diff, confusion, superinfections, hepatotoxicity, abdominal pain | | 52.8% |
| drowsiness, dry mouth, blurred vision, urinary retention | | 11.1% |
| orthostatic hypotension, throat irration, dizziness | | 0% |
| black hairy tongue, superinfections, glottistis | | 13.9% |
|
| patient teaching for sulfonamides include |
avoid the sun, take with food, frequent mouth care, avoid vitamin C | | 52.8% |
| increase fluids, increase fiber, avoid constipation, take around the clock | | 0% |
| report facial swelling, lightheadness, burning on urination | | 11.1% |
| take before meals, take with orange juice, change position slowly, avoid the sun | | 5.6% |
|
| the patient is at risk for these side effects, allergic reaction, stomatitis, sore mouth, N/V, superinfections. What medication are they taking |
nafcillin | | 52.8% |
| vancomycin | | 11.1% |
| minocycline | | 8.3% |
| cefoxitin | | 5.6% |
|
| side effects of fluticasone, mometasone include |
nervousness, insomnia, hyperglycemia | | 50% |
| drowsiness, dizziness, neuritis | | 8.3% |
| suicidal tendencies, headache, dizziness | | 19.4% |
| death | | 0% |
|
| who should not take norfloxacin |
a patient | | 47.2% |
| a deaf patient | | 2.8% |
| a patient with two small children | | 0% |
| a patient with an allergy to shellfish | | 27.8% |
|
| PATIENTS TAKING INH ARE TAUGHT WHAT! |
avoid tyramine foods, change position slowly, wont work right away | | 47.2% |
| to change position slowly, urinate frequently, monitor urine | | 16.7% |
| change position slowly, report angio edema and SOB | | 2.8% |
| avoid potassium supplements, change position slowly | | 2.8% |
|
| what should the nurse monitor for if a patient is taking clonidine |
fluid retention, hemolytic anemia, liver function | | 47.2% |
| wieght gain and edema | | 13.9% |
| vs, i&o, electrolyte imblanaces | | 5.6% |
| bun, creatine, daily weights, anemia | | 5.6% |
|
| teaching for a patient taking cefoxitin includes |
take with food, do not crush, avoid alcohol | | 47.2% |
| take 1 hours before, two after meals. take 2 hrs before, 2 hrs after antacid | | 19.4% |
| monitor for tongue changes, take with orange juice | | 0% |
| take around the clock, do not crush | | 2.8% |
|
| what should a patient be taught if they are taking colestipol |
take 1 hr before or 4 hrs after meds | | 44.4% |
| wear sunscreen, avoid alcohol, take at HS | | 27.8% |
| take pulse before each dose, take with food | | 2.8% |
|
| patient taking pirbuterol should be taught what |
avoid caffeine, take pulse before dose, avoid OTC meds | | 38.9% |
| stop smoking, monitor I&O, Change position slowly | | 2.8% |
| use lozenges for dry mouth, avoid alcohol | | 27.8% |
|
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